they will come back because we will be constantly looking for good commissioners. i would also like to think of up to it -- take the opportunity to thank you, supervisors. you have really gone to bat for us over the years and i want to thank you for your service to the community and protecting us in these tough times, as supervisor mar said. the immigrant community is under siege now, and i just want to say that you all are doing everything you can to protect us, to make the immigration experience as good as we believe it can be in this country. i also want to take the opportunity to thank the staff. they have been incredible. it has been an honor to work with her. she had done an amazing job. obviously, i am a big fan of vera haile, and i would beg you to reappoint her. she keeps a loose cannon like me in mind.

her record speaks for herself. wilma parker was someone that i wanted to put forth an application. i worked with her for many years in south america. she has a great understanding of issues, is a quick learner, and she is a very hard worker. she is also a teacher and educator. with regard to samer, he was on the commission and was outstanding. i would like you to consider him. he is legal minded and is great with legal issues. we have a great deal of things coming down the pipeline for next year. of course, professor enssani, she has been wonderful. supervisor campos: thank you. thank you to the commission for their work. it is good to see you. >> good morning. good morning, supervisors.

my name is helen lim. i know theresa and i support her. i have known her for a while. she particularly fights for the chinese americans. i would urge you all to approve her appointment. thank you. supervisor campos: thank you. is there any at other member of the public that would like to speak? seeing none, public comment is closed. again, let me thank all of the applicants for coming forward. we repeat how every time we have more applicants for which there are seats available, it is a difficult choice for us. every applicant here should be commended for coming forward. along the lines of what the president of the immigrants' rights commission indicated, this is an ongoing process, for

whatever reason, vacancies come up. if someone was not selected for recommended for selection today, i hope that they continue to show their interest and continue to be involved. colleagues, from my perspective, i think the comments from staff, from the director were helpful. i was impressed with a number of applicants but i would like to be supportive of those recommendations which for the seat 1, the report and ofvera haile, seat 3, the reappointment of samer danfoursa, seat 9, elaha enssani. with respect to seat 5, i was impressed with the presentations of the least three individuals. i think either one of them would do a good job. certainly wilma parker had an

impressive presentation, comments from the president helped, kenneth jeng, also an impressive background. i used to be in private practice and i think it is great that an individual in private practice does the kind of pro bono work that you are doing. i encourage you to continue to do that. that said, i will be supporting today teresa chee, not to take anything away from the other applicants, but on balance, the community support that we saw here today is impressive. i think that is also something that should be taken into account. i would make a motion that we recommend for seat 1 vera haile, seat 3 teresa chee, seat 9 elaha

enssani. thank you. without objection. please call item no. 4. >> item 4. hearing to consider the quarterly reports of the shelter monitoring committee. supervisor campos: this is an important item, the report from the shelter monitoring committee. before i turn it over, let me say that we asked the department heads for the various agencies involved to be present here today. i know that one director could not be here because of prior commitments. we appreciate the fact that they were willing to consider that invitation. i know we have members from hsa that are here today.

with that, i will turn it over to the shelter monitoring committee. i will reserve any comments or questions following the presentation. >> thank you. good morning, commissioners. i am the one of the staff people for the shelter monitoring committee. the chair of the committee was going to be here this morning. unfortunately, he is ill and he extends his apologies and has asked me to follow up on some of the points that he wanted to stress that after meeting with supervisor campos earlier this month. you will find three reports in front of you. they cover three different areas, standard of care report, an analysis and overview of all standard of care complaints received for the fiscal year 09/10.

august quarterly reports cover the last quarter of 2009, 2010. the newest report was just approved at yesterday's meeting. it covers the site inspection, the number of complaints received from july 1 to september 30. the chair also wanted to use the opportunity to talk more about the policy recommendations the committee has made in the past and wants to focus on in this upcoming fiscal year. there are four things the committee would like to see the city and county look back, explore, and hopefully put into practice. one is the ability for the system that currently exists, the changes reservation system, to accurately measure vacancies and to provide the city and county with data that would be important in making policy changes around the number of

shelter beds needed, what times they should be available, and how people access it. currently, according to information requests responses received from the human services agency, the city and county is unable to track the type of vacancies. for example, there are different systems -- different types of reservations within change systems. one type is a resource center bed, meaning that someone goes to the location and make a reservation. the second is a cath bed. the current system is unable to identify when you see a vacancy, whether that vacancy is a resource center bed or cat bed. that information would be helpful for two reasons. it would insure the vacancies --

where you see the most -- you could shift beds. currently, the system does not allow us to look at that. the other thing it does not allow as when a bad goes vacant. if a reservation is made for one shelter, the system does not tell us when that reservation was released back. we are working with hsa to utilize changes to provide the city and county with more information. one of the issues that was brought up in the last two reports is that people wanted to go to a certain shelter but they did not have transportation. currently, the human services agency a loss for 1250 tokens a

month. there are 1134 shelter beds in the single adult system. that means only one single homeless adults one token amount. the committee understands there are other ways in which people get transportation. some are on ssi, some on a cat program that allots them a muni pass. london that we have gathered during this report, site inspection that are done monthly, complains that the stafford seized from clients is that there is not enough access to the shelters. if you get a reservation at glide, and the reservation is at providence, it is 4 miles away, one way. one of the other issues the committee would like to see a

focus on is additional case management. currently, there are a 11 case managers in a single adult system. a lot of the data we are talking about here focuses solely on the single adult. the family shelter system, if there is a different set up. supervisor mar: you said a 11 case managers and they roam around? >> 11 within the shelter and then 8 others. of the 11 that are in the adult shelter system, three of them are at larkin. that is a specific shelter for youths. if you take away the population that gives you 8. delores street, those two case managers stay within those shelters. that serves approximately 85

individuals. that is six. in september 2010 committee meeting, the director of mce south, stated that the case managers there do not provide case management services. they, in fact, connect them with the roving team or other services. when you start going down there, you are left with five, plus the eight roving. in 2008, mayor newsom asked the sheltering committee to participate in a shelter enrichment process in which seven community meetings were held in order to get feedback on changes that should happen within the shelter system, taking into consideration financial constraints. one of the things that came up is case management -- the ratios

for case management to staff -- to clients -- needs to be more reflective of the needs. the committee also understand case management not only provides services to clients themselves, but can assist staff in having the training components when dealing with clients with special needs. finally, the last component the committee would like to see improvement on his training for shelter staff. the standards of care required training for all staff, part- time, full-time, on call, in 10 different areas, state, osha, how to deal with blood borne pathogens, etc., going to things like cultural humility, cultural sensitivity, basic first aid, what to do in an emergency. the last few pages of the

october 2010 report give you an overview of the types of training that was offered for single adult shelter staff. this information was provided by hsa. we do have a follow up. we think some training was not taken into consideration here. the single adult system has a manual called the shelter training manual which has elements of cultural sensitivity, working with clients with visible disabilities, and that data was not collected. only one of the shelters submitted that. after speaking with supervisor campos, he asked us to identify what, if any, sides had received cultural competency training. of the total staff in the single system, approximately 100 staff

received it. delores street, working with people in the mission. hospitality house. larkin. msc south. supervisor campos: if you could clarify that -- how many received and the percentage? >> i cannot have a percentage. we have asked hsa to follow up and give us the number of staff employed at each shelter. but if you turn to page 5, you will see the cultural competency component. the letter after this indicates they used the curriculum in the training manual. 11 staff a tendon that training. i am not 100% sure, but i believe that is reflective of all the staff at the lawrence street. there are 85 clients at that

street. -- dolores street. at the top of the page, this encompasses the two large shelters next door and sanctuary. approximately 534 clients at that site. 26 people received training in cultural competency. if you go up a couple of pages, the second line on page six, ucf, nine clients -- staff providing services to 534 clients received transgender cultural sensitivity training. if you go down to hospitality house, within the text of the report -- the number of of really high -- hospitality house

encompasses three programs besides the shelter in itself. basically, they have 30 people on staff, 30 people received cultural competency training. above that, they also have trading on the elimination of transgender workplace bias. supervisor campos: if i may, one thing that i was wondering as i was reading the report -- we talked about this a little bit. is there a way to know what percentage of staff that works in the shelter is actually getting the training that is needed? >> the committee requested information from the human services agency. the human services agency spent a lot of time putting together employee lists, but some of that information was not provided because it was not asked.

we followed up with an information request this morning, asking that we have the number of all staff at each site. what the committee is hoping for in the 2010-2011 fiscal year is that 80% of all staff will meet the training requirements, although the legislation requires 100%. supervisor campos: where do you think we are right now? >> probably below 15%. supervisor campos: 15%? >> yes, for every training category. supervisor campos: you mentioned there is a shelter training manual. is that something -- how is that embedded in the operations of a shelter? people know about it, are trained on it? >> in a single adult system, they are supposed to be trained on it.

perhaps the human services agency can speak to this. i believe it is part of their contract that they have to trade within the first three months of coming on. there are certain chapters that you have to cover. there are additional chapters. supervisor campos: i know they are supposed to, but are they doing it? >> unfortunately, without the data, i cannot tell you. only one side responded that they used the training manual in the information collected. in the follow-up information request, what we have asked hsa, is whether or not they are utilizing those training manuals. supervisor campos: out of how many? >> one site out of 13 -- no, that is wrong.

9 shelters and resource centers for single adults. when i spoke with you, committee staff had been going to all the sites during training about standards of care, changes in our methodology. in those interactions, we know for a fact that other sites have utilized the shelter training manual. unfortunately, that information was not captured in the data we received. that is why we are asking for more information from hsa. supervisor campos: i have a number of questions, but i will turn it over to supervisor mar. supervisor mar: under supervisor ammiano's leadership, shelter had become one of the major reform issues. several months ago, the board had a fall of shelter reform process that was supposed to create greater access for

reservations, create better training for disability training, and also, move to safer and cleaner sites. after the passage of that, had that change anything? >> the training component is offered by the city and county of san francisco. as far as i know, the city and county has not offered that yet. that is done in cooperation with the mayor's office on disability. i have not received any information from either of those departments stating that they have coordinated training. when supervisor campos asked me what i would rate the percentage of compliance -- 15% -- in the data that you have, no site received ada training. as far as the access issue, we

will be tracking that this quarter when we do a turn away report that is part of the new legislation. that will provide overall analysis. then we usually interview 30 to 40 clients. supervisor campos: i have a couple of sets of questions. some are to the specifics of the report. then another set of general, structural questions. going back to training, as i see the issue of training, i believe it is critical to have proper training provided to staff. the idea behind training is it will ensure that each person who is at a shelter is being treated with respect, dignity, so that safety is also injured. so is troubling -- ensured.

so it is troubling to me when you show these low levels of compliance, when you have legislation requiring 100 percent staff being trained on these items, and the number you are talking about -- i know it is not an exact number because the data is lacking -- even if it was double 15, 30% would be troubling. how do we know, as a city, that the fact that the kinds of things that training is supposed to avoid an prevent from happening, are in fact, not happening? >> part of the methodology the community uses when we do a site -- committee uses when we do a site inspection, when we do follow-up investigations on complaints, we interview clients

so that we are able to capture from a client perspective how they were treated. that is not the most perfect way, but that is one way we gather data. the other way we gather data is when we go to the site, we talked to staff. we ask them what type of training they recently received, so that we can have an ongoing understanding of which side is getting what type of training. i think the reason this is a policy suggestion of the committee is to really be able to hold a site accountable, tools need to be provided. these tools are sometimes costly. right now, there does not seem to be within the city and county a standard of care training module going out to training sites. it is unclear what agency is tracking that. is that the fault of the committee, tracking providers,

dph -- so what the committee is looking for, looking to you, our resources are allotted. sites can have an opportunity to send some staff to training. that information can be brought back and they can train the trainer. we are looking to see if training manuals are being used, which staff has had what type of training, so we know what is lacking. right now, the data that we have is inconclusive as far as which sites have had an opportunity to sit down and go through every chapter in the manual. supervisor campos: on case management, you are having 11th -- talking about having 11 case managers for close to 1134 adults.

you noted some of those case managers, sometimes the number is actually smaller because some are assigned to specific sites. what are we talking about in terms of the specific case load of these case managers? >> unfortunately, i do not have that data. the information we got from the roving team, you are looking at one to 54 or 136, depending on the services they are providing. delors street has 85 clients. they have two case managers. that ratio is below below. hospitality house has 1430. -- 1 for 30 clients.

the two case managers in the south are there to refer clients on to other services within the city. next door on sanctuary, they make up a huge percentage of. over 60% of them, and there is no case manager at the site. the other challenge is the city has not clearly defined case management, and i feel that is an important component in holding people accountable to what kind of services they are providing. last week, and warren did testimony -- a woman gave testimony about how she was unable to access services for the first 90 days she was enrolled. supervisor campos: if you just

look at the numbers, you are talking about 100 cases on average, but eat you take away some of the -- if you take away some of the case managers assigned to individual sites, you are talking about an even greater number. i'm just trying to understand. >> for example, we're talking about the three largest shelters -- msc sells and sanctuary next door. that is 77% of the shelter. there is no case manager on- site. supervisor campos: what? >> there is no case manager on- site at any of those locations. the information we got stated that there are two. again, public testimony last month was that they connect people to services. the roving team of case managers goes to each of those sites and

provides services. that is the case management model. again, going back to the 2008 ford, it was not only looking at lower numbers, the one to 50. it was also looking at a tool for staff to have the component there and help provide better services and may be involved in that into the training component. >> what happens to those 800- plus individuals with there is no case manager? >> a percentage of those are on care not cash. they receive housing services. sari the county assistance program -- sorry. the